Clinical Nurse Specialist, Acute Medicine Rapid Access Clinic (AMRAC)

Clinical Nurse Specialist – Acute Medicine Rapid Access Clinic (AMRAC)

• Middlemore Hospital, Full-time Permanent Role
• Senior Nursing Opportunity
• Monday – Friday

Our Organisation:

Health NZ Counties Manukau is a dynamic and progressive organisation at the forefront of innovative health care delivery within the New Zealand Public Health Sector. In collaboration with sector stakeholders, we work to achieve equity in key health indicators for Māori, Pacific and communities with health disparities and continue to develop and implement plans, based on local needs, to improve the health and wellbeing of the Counties Manukau region.

We are part of Health New Zealand - Te Whatu Ora, the overarching organisation for New Zealand’s national health service, leading the day-to-day running of health services, delivered at local, district, regional and national levels. Health New Zealand Te Whatu Ora is dedicated to ensuring excellent healthcare for the people of New Zealand. We embrace a workforce that is diverse and inclusive so that we are better positioned to understand and serve our community.

The Role:

We have an exciting opportunity for an experienced senior nurse to join our General Medicine service as a Clinical Nurse Specialist (CNS) at Middlemore Hospital.

The Acute Medicine Rapid Access Clinic, known as AMRAC, is a rapid access service within the Division of Medicine. It provides urgent assessment, investigation and treatment for patients referred to acute medicine - but without requiring hospital admission. The service works closely with the Medical Assessment Unit, Emergency Department, Hospital in the Home and diagnostic services.

In this senior clinical role, you will complete advanced clinical assessments, apply sound clinical reasoning and coordinate safe, responsive care for people presenting with acute medical conditions – with a particular focus on the Chest Pain Pathway. You will identify and facilitate appropriate further tests and management via an ambulatory pathway, while also recognising when inpatient care is required.

This is an opportunity to help further develop the AMRAC service and Chest Pain Pathway as an innovative model of care that improves access, supports patient flow, reduces avoidable admissions and enables more people to receive care without admission.

You will be an experienced Registered Nurse with strong acute medical assessment skills and the confidence to work autonomously within an agreed advanced nursing scope.

You will bring excellent clinical judgement, a calm and organised approach, and the ability to make safe decisions in a fast-paced environment. You will be comfortable coordinating care across hospital and community settings and building trusted relationships with patients, whānau and multidisciplinary teams.

About You:

• Registered Nurse with a current Nursing Council of New Zealand Annual Practising Certificate.
• Completed Postgraduate Diploma with commitment to progressing toward Master's level study (or equivalent relevant qualification).
• 5+ years of recent post-registration experience in an acute clinical setting in NZ. Preferred experience in:An ambulatory care, rapid assessment or short-stay environmentAcute medicine, emergency, medical assessment or general medicine nursing experienceExperience working with Hospital in the Home, community nursing, primary care or supported-discharge services
• Expert level on the PDRP
• Demonstrated senior nursing practice and leadership capabilities.
• Advanced clinical assessment, critical thinking, and problem-solving skills.
• Ability to work autonomously while contributing positively to multidisciplinary teams.

For a copy of the job description click here

Contribute to the health and wellbeing of whaanau and communities across Counties Manukau. Apply online now! If you have any questions, please contact Fran Upoko in the Recruitment Team at cm-nursemidwifejobs@tewhatuora.govt.nz

We will review applications as received and may proceed with the recruitment process, before the closing date of this advert.

Job Number: CMH202617342

Application Closes: 11 November 2026

At Counties Manukau Health people and their lives matter to us. We are a values based and inclusive organisation that is committed to delivering the best health outcomes for our community. To help us achieve this we need a workforce that reflects the population we serve. We strongly encourage applications from all backgrounds who share our values and have a passion to work in our community and would greatly value seeing applicants from our Maaori and Pacific communities. We are also committed to our Disability Strategy, which focuses on people with disabilities; they are our patients, whaanau, community and our staff - all carefully considered in our action plan. Together we will improve the accessibility needs for everyone who has a disability. Our values are Valuing Everyone- Whakawhanaungatanga , Kind –Manaakitanga, Together –Kotahitanga, Excellent- Rangatiratanga. If these are your values too, then join us today.

Job Details

Job Description: This position is a Core Children's worker under the Children's Act & requires full safety checks completed before any new employee starts

Job Posting: Ongoing

Organization: Hospital & Specialist Services

Primary Location: New Zealand

Job: Medical, Full-time, Monday - Friday

Recruiter: Francine Upoko